A 2-year-old male is brought to the pediatrician by his parents, who are concerned because they have noticed that one of his testicles seems to be missing from the scrotum.
Upon examination, the doctor confirms that the right testicle is not palpable in the scrotal sac.
The left testicle is present and normal.
The parents are informed about the risk factors associated with this condition.
What condition is most likely being described?
Cryptorchidism.
Inguinal hernia.
Hydrocele.
Testicular torsion.
The Correct Answer is A
Choice A rationale
Cryptorchidism is the medical term for the failure of one or both testicles to descend into the scrotum. The scenario describes a 2-year-old male with one non-palpable testicle, which is the hallmark of cryptorchidism. Risk factors include prematurity and low birth weight.
Choice B rationale
An inguinal hernia is a protrusion of abdominal contents through the inguinal canal. While it can present as a swelling in the groin area, it is distinct from a missing testicle in the scrotum. Examination would typically reveal a palpable mass that may reduce with gentle pressure.
Choice C rationale
A hydrocele is a collection of fluid within the tunica vaginalis, the sac surrounding the testicle. It typically presents as a painless swelling of the scrotum. The testicle is usually palpable within the fluid-filled sac.
Choice D rationale
Testicular torsion is a medical emergency involving the twisting of the spermatic cord, which cuts off blood supply to the testicle. It presents with sudden, severe scrotal pain, swelling, and often nausea and vomiting. The examination would reveal a tender, firm, and retracted testicle. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Isotretinoin absorption is enhanced with high-fat meals because it is a lipophilic drug. While this is important for maximizing the medication's effectiveness, it is not the priority nursing action related to the significant risks associated with the drug.
Choice B rationale
Isotretinoin can cause increased photosensitivity, making the skin more susceptible to sunburn. Monitoring for and educating the child and family about sun protection measures, such as sunscreen and protective clothing, is crucial to prevent skin damage.
Choice C rationale
Isotretinoin is a known teratogen, meaning it can cause severe birth defects if taken during pregnancy. Therefore, ensuring that female patients of childbearing potential are using two effective forms of contraception and have a negative pregnancy test before starting treatment is a paramount safety concern and a priority nursing action.
Choice D rationale
There is no specific contraindication or recommendation regarding increased dairy intake for children receiving isotretinoin. Dairy intake does not directly address the major risks associated with the medication.
Correct Answer is B
Explanation
Choice B rationale
Regular soda contains high amounts of simple sugars, which will rapidly increase blood glucose levels. For a child with type 1 diabetes experiencing hypoglycemia (low blood sugar), a quick-acting source of glucose like juice or glucose tablets is preferred over regular soda due to its predictable and faster absorption.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.